Mark Dearth

Pharmacist · Henderson, TN

Individual Active NPI

NPI number 1205189487

Practice location

535 W Main St
Henderson, TN 38340-2536
Phone
(731) 989-0077
Fax
(731) 989-0076

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NPI record

NPI
1205189487
Entity type
Individual (Type 1)
Enumeration date
October 24, 2012
Last updated
April 3, 2020
Certified
April 3, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 23938 TN

Mailing address

93 Stonebrook Pl
T-0921
Jackson, TN 38305-3637

About Mark Dearth

Mark Dearth is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 535 W Main St, Henderson, TN 38340-2536. The NPI number 1205189487 was assigned on October 24, 2012 and the record was last updated on April 3, 2020.

Mark Dearth lists a license in the registry: #23938 (TN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Dearth?

The NPI number is 1205189487.

What is the phone number of Mark Dearth?

The phone number listed for the practice location is (731) 989-0077.

Where is Mark Dearth located?

535 W Main St, Henderson, TN 38340-2536.

What is the taxonomy code for Mark Dearth?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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